Evidence map›Paper›PMID 39200636›Full record

Trial reportInternational journal of environmental research and public health2024

Knowledge, Acceptance, and Uptake of Family Planning: A Cluster Randomized Controlled Trial of Group Antenatal Care in Ghana.

Ruth Zielinski, Samia Abdelnabi, Georgina Amankwah, Vida A Kukula, Veronica Apetorgbor, Elizabeth Awini, John Williams, Cheryl Moyer, Bidisha Ghosh, Jody R Lori

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of environmental research and public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ruth ZielinskiDepartment of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 North Ingalls, Ann Arbor, MI 48109, USA.ORCID 0000-0002-5119-9123
Samia AbdelnabiDepartment of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 North Ingalls, Ann Arbor, MI 48109, USA.ORCID 0000-0001-7494-0001
Georgina AmankwahDodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana.
Vida A KukulaDodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana.
Veronica ApetorgborDodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana.
Elizabeth AwiniDodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana.
John WilliamsDodowa Health Research Center, Ghana Health Service, Dodowa P.O. Box DD1, Greater Accra Region, Ghana.ORCID 0000-0002-1353-2685
Cheryl MoyerDepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Bidisha GhoshDepartment of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 North Ingalls, Ann Arbor, MI 48109, USA.ORCID 0000-0002-0365-5649
Jody R LoriDepartment of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 North Ingalls, Ann Arbor, MI 48109, USA.

Funding

Group Antenatal Care to Promote a Healthy Pregnancy and Optimize Maternal and Newborn Outcomes: A Cluster Randomized Controlled TrialR01HD096277 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LORI, JODY RAE · 2018 to 2022
$2.6M
National Institutes of Health; Eunice Kennedy Shriver National Institute of Child Health & Human Development. RO1HD096277NICHD NIH HHS R01 HD096277
6 · The paper itself

Abstract

The use of family planning (FP) methods significantly contributes to improved outcomes for mothers and their offspring. However, the use of FP remains low, particularly in low- and middle-income countries. A cluster randomized controlled clinical trial was implemented in Ghana, comparing group antenatal care (ANC) with routine care. The group ANC intervention included eight meetings where the seventh group meeting incorporated information and discussion regarding methods of FP. Data collection occurred at five time points: baseline (T0), 34 weeks' gestation (T1), 6-12 weeks post birth (T2), 5-8 months post birth, and 11-14 months post birth (T4). At T1, there was a significantly greater increase in the knowledge of FP methods as well as the intention to use FP after the birth among the intervention group. The uptake of FP was significantly higher in the intervention group for all post-birth timepoints except for T4 where the control group had significantly higher rates. The reasons for the diminishing effect are unclear. An increasing uptake of FP methods requires a multifaceted approach that includes increasing accessibility, knowledge, and acceptability as well as addressing societal and cultural norms.

Indexed as

Family Planning ServicesHealth Knowledge, Attitudes, PracticePrenatal CareAdolescentAdultFemaleGhanaHumansPatient Acceptance of Health CarePregnancyYoung Adultantenatal carefamily planningGhanagroup antenatal caregroup caresub-Saharan Africa

Identifiers

PMID39200636
PMCPMC11355032

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.